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HomeMy WebLinkAbout017708-Plumbing (water heater) � CITY OF OSHKOSH N°_ 17708 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS (h/�.: L��F=�'�, PLAN NO. OW N E R ��"��-�--w-�� �d�.A DESIGNER ! USE/NATURE OF WORK ,��° C��� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ��1�d'CP�L/�,�.� _BT �WH Disp —WSoft —CBasin —Lav —Sh —DW DF San. Sewer —WC —FDr —SP Ur —Storm Sewer Sink —LTub —Eject —SS —Water Other sTi oz� ` FEES: Valuation $ ��S�S� Permit Fee Paid $ �� Park Dedication $ � ISSUED BY �i�'���_ Date 7 ���� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGN�4TURE , � + �� AGENT/OWNER DATE � ADDRESS TELEPHONE# -